person
Keith William Tom
Mental Health Counselor in Truckee, California
NPI 1104578897

Keith William Tom is a Mental Health Counselor based in South Lake Tahoe, CA and is specialized in Mental Health. Keith William Tom practices in Truckee, CA. The NPI Number for Keith William Tom is 1104578897 and holds a License No. (California).

The current practice location address for Keith William Tom is 10038 Meadow Way Unit D, Truckee, CA and can be reached out via phone at 510-381-3705.

Location: 10038 Meadow Way Unit D, Truckee, CA, 96150-2941
person
Provider Profile Details
NPI Number
1104578897
Provider Name
Keith William Tom
Credential
Provider Entity Type
Individual
Gender
Male
Address
10038 Meadow Way Unit D, Truckee, CA, 96150-2941
Phone Number
510-381-3705
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10038 Meadow Way Unit D
City
State
Zip
96161-4974
Phone Number
510-381-3705
Fax Number
person
Provider Business Mailing Address Details
Address
10038 Meadow Way Unit D
City
State
Zip
96161-4974
Phone Number
510-381-3705
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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